Isifo sikashukela sohlobo loku-1 yisifo esingalapheki kakhulu esiphazamisa i-glucose metabolism.
Isimpawu salo esiyinhloko ukuntuleka kwe-insulin. Kanye nokwanda kwe-glucose egazini lomuntu.
Lesi sifo ngokwaso sinamaphuzu amaningi ngokuqondile ekwelashweni nasekwelashweni, noma kunjalo, maqondana nohlobo 1 sikashukela kwabesifazane abakhulelwe, lokhu kuyizici ezengeziwe.
Mayelana nalesi sifo
I-insulin yi-hormone edingekayo ukuze izicubu zikhiqize ushukela. Inqubo yokukhula kwayo yenziwa ngamaseli e-beta wamanyikwe. Isifo sikashukela sohlobo 1 saziwa ukuthi senzeka futhi sikhula lapho amasosha omzimba womuntu ehluleka.. Ngephutha uqala ukubhubhisa amaseli we-beta, futhi ushukela wegazi uqala ukukhuphuka ngenxa yamanani anganele e-insulin.
I-Mechanism yesenzo se-insulin
Izimpawu zokuqala ezenzeka ngesikhathi sale nqubo azimbi kakhulu emzimbeni, kepha zingawenza buthaka kakhulu. Kodwa-ke, lokhu akuyona ingozi yangempela emzimbeni, kepha izinkinga ezingapheli. Ngoba isifo sikashukela sithinta izinhlelo eziningi: ezibukwayo, zenhliziyo, zemisipha nezinye.
Lapho isifo sikashukela senzeka esemncane kakhulu, kunokudluliselwa kwesifo okunamandla kakhulu ukwedlula esakhula. Ukwelashwa kwakhe kungukubambelela ngokuqinile ekudleni, kuyilapho kuchazwe imijovo ye-insulin ngezikhathi ezithile futhi kukhuphuka nokuzivocavoca komzimba. Sekutholakele ukuthi kaningi lesi sifo senzeka eminyakeni engama-35 ubudala.
Kuyiqiniso, ukukhulelwa kanye nohlobo 1 sikashukela kuyingozi enkulu. Ngesikhathi sokukhulelwa, isifo sikashukela singaba nomthelela omkhulu ekukhuleni kwengane nosanda kuzalwa.
Kunezici ezihlukanisa izingane ezinesifo sikashukela.
Kulabo abasanda kuzalwa abazalwe benesifo sikashukela, izimpawu ezilandelayo ziyimpawu:
- kukhiqizwe ngokweqile iseli yama-subcutaneous fat cell;
- ubuso obuyindilinga enyangeni.
Imisebenzi Efanele
Ngokwesifo sikashukela sohlobo 1, owesifazane welulekwa ukuba ahlelele ukukhulelwa kwakhe okungenani izinyanga eziyisithupha ngaphambi kwenqubo yokukhulelwa. Lokhu kuyadingeka ukuze uthole isinxephezelo esihle futhi ubelethe ingane enempilo.
Ukukhulelwa ngesifo sikashukela sohlobo loku-1 kudinga izindlela ezilandelayo:
- ukuhlolisiswa okugcwele kwesidumbu sonke sikamama olindele kanye nokulethwa kwazo zonke izivivinyo ezidingekayo;
- ukuvakasha okuphoqelekile ku-ophthalmologist ukuthola isimo se-fundus, futhi, uma kunesidingo, kuthola ukwelashwa okudingekayo;
- ukuvakasha okuphoqelekile ku-nephrologist kuyadingeka ukuze kuhlolwe ukusebenza kwezinso, ngoba yilezi zitho lapho umthwalo omkhulu uzokhishwa khona;
- ukuqapha njalo kwengcindezi yegazi. Ngezimpawu ze-hypertension, kufanele uthintane nodokotela wakho.
Izimpawu
Izimpawu azibeki ingozi ethile emzimbeni, noma kunjalo, ezinye zingenza kube nzima kakhulu ukuma kwesiguli.
Ngohlobo 1 sikashukela, lezi zimpawu ezilandelayo zimpawu:
- ukomela kakhulu;
- umlomo owomile
- ukuchama njalo;
- ukukhuphuka kokujuluka;
- ukukhulisa isifiso sokudla;
- ukwehla kwesisindo okungalindelekile;
- ukungahambi kahle;
- imidumo;
- ukuguquguquka kwemizwa;
- ubuthakathaka obujwayelekile;
- ukukhathala
- ukungaboni kahle
- thintitha.
Izimpawu ezivame kakhulu ze-ketoacidosis yilezi:
- iphunga elinamandla le-acetone ephuma emlonyeni;
- ukulahleka okungazelelwe kokungazi;
- isicanucanu nokuhlanza
- isikhumba esomile
- ukomisa komzimba;
- ukuphefumula okujulile nokuvama.
Izimbangela zokwenzeka
Azikho izizathu ezizwakalayo zokuvela kwesifo sikashukela sohlobo 1, noma kunjalo, kwenziwa izifundo ezahlukahlukene ngale ndaba ukuze kucace futhi kuthuthukiswe izindlela zokuvimbela. Kodwa-ke, kukhona iqiniso elaziwayo, elithambekele ngenxa yento eyindlalifa.
Ukuzalwa kwengane, ukukhulelwa kanye nohlobo 1 sikashukela
Ukukhulelwa ngesifo sikashukela sohlobo lokuqala kuyisinqumo esinzima futhi akumelwe sithathwe ngaso leso sikhathi, ngoba ingane ezelwe ingasithola lesi sifo kusuka kumama.
Kepha uma esenquma esenzweni esinjalo, khona-ke kufanele aqale ukulungiselela isikhathi eside ngaphambi kokukhulelwa.
Ukuze unciphise ithuba lokukhulisa isifo sikashukela sengane noma usisuse ngokuphelele, umama okhulelwe kufanele afinyelele futhi alondoloze isinxephezelo esizinzile unyaka wonke ngaphambi kokukhulelwa. Ngoba ngaphandle kwalokhu, inkambo yokukhulelwa ingaba yinkimbinkimbi.
Ukunxeshezelwa okuhle ngaphambi kokukhulelwa kuzokwenza kube lula kakhulu ukusinda ekushintshashintsheni koshukela ngenkathi ingane igqoke, okuzovumela osanda kuzalwa ukuba azalwe ngaphandle kobungozi empilweni yakhe.
Ngaso sonke isikhathi sokukhulelwa, ukufunwa kwe-insulin kuzobhekwa.
Uma noma ngaphambi komzuzu wokukhulelwa kufinyelelwe isikhathi eside se-standardoglycemia, khona-ke kulula kakhulu ukubhekana nalokhu kuguquguquka.
Kuhle ukukhumbula ukuthi isidingo se-insulin sisemuntwini wonke, futhi ngesikhathi sokukhulelwa abanye bangase bangabi nayo nhlobo. Iyunithi lesilinganiso lilinganiswa ngo-trimesters.
Esikhathini sokuqala se-trimester, i-toxicosis yabesifazane abakhulelwe itholakala kaningi, engahambisana nokuhlanza. Kwi-trimester yesibili, isidingo se-insulin sanda kakhulu. Ukukhula kungaba bukhali kakhulu. Umthamo ojwayelekile we-insulin nsuku zonke ungafinyelela amayunithi angama-80-100.
Kwi-trimester yesithathu, kufanele uqaphele kakhulu futhi ugweme i-hypoglycemia enamandla. Kaningi, ngalesi sikhathi, ukuzwela kukho kuncishiswa kakhulu, ngakho-ke kudingeka ukuthi ubhekwe njalo, ngaphandle kwalokho ungakwazi ukweqa umzuzu lapho ushukela uzokwehliswa.Ngosuku lapho kuzozalwa khona isifo sikashukela sohlobo 1, kungcono ukwenqaba ukujova kwe-insulin yangemuva, noma usisebenzise emthanjeni omncane kakhulu.
Kodwa-ke, lesi sinqumo, yize sinconyiwe, akufanele sithathwe ngaphandle kokubonisana nodokotela we-endocrinologist. Ngesikhathi sokuzalwa, kungaba nokukhula okuthe xaxa koshukela wegazi, okuhambisana nesipiliyoni sowesifazane, kanye nokwehla kweglucose ngenxa yomsebenzi oqinile womzimba.
Ngesikhathi sokuqunjelwa ngenxa yokuncelisa ibele, kukhona ukuncipha okuqinile kweshukela egazini, okwenza kube nzima ukufeza i-standardoglycemia.
Amavidiyo ahlobene
Ividiyo ikhuluma ngokusetshenziswa kwe-insulin ngabesifazane ngesikhathi sokukhulelwa:
Ingozi enkulu yokukhulelwa lapho kukhona isifo sikashukela sohlobo 1 ukuthi lesi sifo singadluliselwa kosanda kuzalwa. Ngenhlanhla, ithuba lalokhu alilikhulu kakhulu, futhi futhi lingancishiswa ngokuqeqesha kwangaphambili owesifazane ohlela ukukhipha ingane.
